DR. PHILLIP GARVEN BLANC (NPI# 1548418577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548418577 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP GARVEN BLANC |
| Credential | MD |
| Practice Address |
64 Princeton Hightstown Rd Princeton Junction NJ 08550-1103 |
| Practice Telephone | 6097997009 |
| Mailing Telephone | 6097997009 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MA10243900 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Campus Town Cir Ste 100, Ewing, NJ 086381962 | 6097997009 |
| Street Address |
64 PRINCETON HIGHTSTOWN RD |
| City | PRINCETON JUNCTION |
| State | NJ |
| Zip Code | 08550-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245722958 | Yufei Yang | Acupuncturist | 64 Princeton Hightstown Rd, Princeton Junction, NJ 08550-1103 | 2018-05-30 |
| 1982912036 | Linda Lee | Pharmacist | 64 Princeton Hightstown Rd, 11, Princeton Junction, NJ 08550-1103 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874605 | Komal Gulab Khattak | Chiropractor | 3b, 186 Princeton Hightstown Rd, #104, West Windsor Township, NJ 08550 | 2020-09-04 |
| 1073021069 | Deborah Silver | Behavioral Analyst | 329 Village Road East, The Success Center, Princeton Junction, NJ 08550 | 2018-01-12 |
| 1396267217 | Mary Joan Goepfert | Social Worker | 4065 Quakerbridge Road, Princeton Junction, NJ 08550 | 2017-07-12 |
| 1164807459 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3 Wood Hollow Road, West Windsor, NJ 08550 | 2015-07-28 |
| 1144605445 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 694 Village Road West, West Windsor, NJ 08550 | 2015-07-28 |
| 1134504434 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 694a Village Road West, West Windsor, NJ 08550 | 2015-07-28 |
| 1407237837 | Allies, Inc. | Day Training, Developmentally Disabled Services | 1072 Old Trenton Road, West Windsor, NJ 08550 | 2015-06-11 |
| 1366755571 | Steven Broderson | Pharmacist | 64a Princeton Hightstown Rd, Princeton Jct, NJ 08550 | 2010-07-16 |
| 1588811012 | Randall S Krakauer | Internal Medicine | 29 Lorrie Lane, Princeton Junction, NJ 08550 | 2008-08-27 |
| 1932229101 | Stephen Pike Rounds Jr. | Dentist | 44 Princeton Hightstown Rd, Princeton Jct, NJ 08550 | 2007-03-30 |
| Find all providers in zip 08550 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134484868 | Compass Health Group | Emergency Medicine | 4065 Quakerbridge Rd, Princeton Junction, NJ 08550-5243 | 2012-07-09 |
| 1023379229 | Gopi Mukkavilli, Md | Emergency Medicine | 4065 Quakerbridge Rd, Princeton Junction, NJ 08550-5243 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850094 | New Altermatives, LLC | Emergency Medicine | 1395 Route 539, Little Egg Harbor Twp, NJ 08087-9770 | 2020-10-31 |
| 1124630975 | Dispatchhealth Nj Wagner PC | Emergency Medicine | 50 Tice Blvd Ste A35, Woodcliff Lake, NJ 07677-7681 | 2020-08-21 |
| 1780249987 | New Dawn Wellness and Rehab Center, LLC | Emergency Medicine | 1990 Marlton Pike E Ste 2b, Cherry Hill, NJ 08003-1836 | 2019-05-03 |
| 1184114431 | Jude Mele | Emergency Medicine | 1 Robert Wood Johnson Pl # 338a, New Brunswick, NJ 08901-1928 | 2018-05-12 |
| 1073020269 | Richard Barnett | Emergency Medicine | 1 Robert Wood Johnson Pl Meb 104, New Brunswick, NJ 08901 | 2018-01-09 |
| 1790290740 | Donard Scott Smith | Emergency Medicine | 139 Elmwood Ave, Ho Ho Kus, NJ 07423-1503 | 2017-12-12 |
| 1831617257 | Medexpress Urgent Care - New Jersey, Inc | Emergency Medicine | 10 Cornwell Drive, Bridgeton, NJ 08302-3633 | 2017-09-06 |
| 1205353471 | Medexpress Urgent Care - New Jersey, Inc | Emergency Medicine | 1919 Nj Route 35, Suite 100, Wall, NJ 07719-3512 | 2017-08-28 |
| 1922523802 | Adnan Riaz | Emergency Medicine | 1 Robert Wood Johnson Pl Bldg Room388a, New Brunswick, NJ 08901-1928 | 2017-08-11 |
| 1154843928 | Michelle Chang | Emergency Medicine | 1 Robert Wood Johnson Pl # 389a, New Brunswick, NJ 08901-1928 | 2017-07-12 |
| Find all providers with the same taxonomy | ||||
| City | PRINCETON JUNCTION |
| Zip Code | 08550 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.